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ICD-10 Guide
ICD-10 CodesS01.342

S01.342

Billable

Puncture wound with foreign body of left ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S01.342 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left ear.

Key Diagnostic Point:

A puncture wound with a foreign body in the left ear typically occurs when an object penetrates the skin and underlying tissues of the ear, potentially causing damage to the ear canal, tympanic membrane, or surrounding structures. Common mechanisms of injury include accidents involving sharp objects, such as needles, splinters, or foreign objects introduced during play or work activities. Symptoms may include pain, bleeding, and possible hearing loss, depending on the severity of the injury. Diagnosis involves a thorough clinical examination, often supplemented by imaging studies to assess for deeper tissue involvement or foreign body presence. Management may include cleaning the wound, removal of the foreign body, and possibly suturing if the wound is extensive. Complications can arise, such as infection, persistent pain, or damage to the auditory structures, necessitating careful monitoring and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the foreign body type and location
  • Differentiation between puncture wounds and other types of wounds
  • Potential for associated injuries to the ear structures
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the laterality of the injury
  • Misclassification of the wound type (puncture vs. laceration)
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, the type of foreign body, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents, such as falls or impalements, requiring urgent care.

Billing Considerations

Consideration of potential complications such as tympanic membrane perforation or otitis media.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, foreign body removal, and any reconstruction performed.

Common Clinical Scenarios

Surgical intervention for foreign body removal or repair of damaged structures in the ear.

Billing Considerations

Documentation must reflect the complexity of the procedure and any additional findings during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.342 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the specific site and nature of the injury are accurately captured
  • Use additional codes for any associated conditions or complications

Exclusion Criteria

Do NOT use S01.342 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69200CPT Code

Removal of foreign body from external ear canal

Clinical Scenario

Used when a foreign body is removed from the ear canal during a procedure.

Documentation Requirements

Document the procedure performed, including the method of removal and any complications.

Specialty Considerations

Emergency and ENT specialists should ensure accurate coding based on the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, improving the accuracy of data collection and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, improving the accuracy of data collection and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S01.342 and S01.341?

S01.342 is used for puncture wounds with a foreign body present, while S01.341 is for puncture wounds without a foreign body. Accurate documentation of the presence of a foreign body is crucial for correct coding.